Medical Engineering & Physics
Volume 31, Issue 7 , Pages 752-757 , September 2009

Elevated proximal tibial strains following unicompartmental knee replacement—A possible cause of pain

  • D.J. Simpson

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, OX3 7LD, UK
    • Corresponding Author InformationCorresponding author at: Botnar Research Centre, University of Oxford, Nuffield Orthopaedic Centre, Oxford, OX3 7LD, UK. Tel.: +44 1865 227679; fax: +44 1865 227671.
  • ,
  • A.J. Price

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, OX3 7LD, UK
    • Nuffield Orthopaedic Centre, Oxford, OX3 7LD, UK
  • ,
  • A. Gulati

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, OX3 7LD, UK
  • ,
  • D.W. Murray

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, OX3 7LD, UK
    • Nuffield Orthopaedic Centre, Oxford, OX3 7LD, UK
  • ,
  • H.S. Gill

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Oxford, OX3 7LD, UK

Received 29 September 2008 ,Revised 23 January 2009 ,Accepted 10 February 2009.

References 

  1. Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, et al. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am. 2005;87(5):999–1006
  2. Gioe TJ, Killeen KK, Hoeffel DP, Bert JM, Comfort TK, Scheltema K, et al. Analysis of unicompartmental knee arthroplasty in a community-based implant registry. Clin Orthop Relat Res. 2003;416:111–119
  3. Fisher DA, Watts M, Davis KE. Implant position in knee surgery: a comparison of minimally invasive, open unicompartmental, and total knee arthroplasty. J Arthroplasty. 2003;18(7 Suppl. 1):2–8
  4. Goodfellow JW, O’Connor J, Dodd CAF, Murray DW. Unicompartmental arthroplasty with the Oxford knee. Oxford University Press; 2006;
  5. Iesaka K, Tsumura H, Sonoda H, Sawatari T, Takasita M, Torisu T. The effects of tibial component inclination on bone stress after unicompartmental knee arthroplasty. J Biomech. 2001;35:969–974
  6. Sawatari T, Tsumura H, Iesaka K, Furushiro Y, Torisu T. Three-dimensional finite element analysis of unicompartmental knee arthroplasty—the influence of tibial component inclination. J Orthop Res. 2005;23(3):549–554
  7. Gray HA, Taddei F, Zavatsky AB, Cristofolini L, Gill HS. Experimental validation of a finite element model of a human cadaveric tibia. J Biomech Eng. 2008;130(3):031016
  8. Simpson DJ, Gray H, D’Lima D, Murray DW, Gill HS. The effect of bearing congruency, thickness and alignment on the stresses in unicompartmental knee replacements. Clin Biomech (Bristol, Avon). 2008;23(9):1148–1157
  9. Rho JY, Hobatho MC, Ashman RB. Relations of mechanical properties to density and CT numbers in human bone. Med Eng Phys. 1995;17(5):347–355
  10. Viceconti M. A comparative study on different methods of automatic mesh generation of human femurs. Med Eng Phys. 1998;20:1–10[Med Eng Phys, 2000:22(5); 379–80]
  11. Viceconti M, Toni A, Giunti A. Strain gauge analysis of hard tissue: factors influencing measurements. In:  Little EG editors. Experimental mechanics technology transfer between high tech engineering and biomechanics. Amsterdam: Elsevier Science; 1992;
  12. Lewis G. Properties of acrylic bone cement: state of the art review. J Biomed Mater Res. 1997;38(2):155–182
  13. Cheal EJ, Hayes WC, Lee CH, Snyder BD, Miller J. Stress analysis of a condylar knee tibial component: influence of metaphyseal shell properties and cement injection depth. J Orthop Res. 1985;3(4):424–434
  14. Orr JF, Dunne NJ, Quinn JC. Shrinkage stresses in bone cement. Biomaterials. 2003;24(17):2933–2940
  15. Mroz Z. On the description of anisotropic workhardening. J Mech Phys Solids. 1967;15:163–175
  16. Kurtz SM, Rimnac CM, Santner TJ, Bartel DL. Exponential model for the tensile true stress-strain behavior of as-irradiated and oxidatively degraded ultra high molecular weight polyethylene. J Orthop Res. 1996;14(5):755–761
  17. Pandit H, Van Duren BH, Gallagher JA, Beard DJ, Dodd CA, Gill HS, et al. Combined anterior cruciate reconstruction and Oxford unicompartmental knee arthroplasty: in vivo kinematics. Knee. 2008;15(2):101–106
  18. Pandit H, Ward T, Hollinghurst D, Beard DJ, Gill HS, Thomas NP, et al. Influence of surface geometry and the cam-post mechanism on the kinematics of total knee replacement. J Bone Joint Surg Br. 2005;87(7):940–945
  19. van Duren BH, Pandit H, Beard DJ, Zavatsky AB, Gallagher JA, Thomas NP, et al. How effective are added constraints in improving TKR kinematics?. J Biomech. 2007;40:S31–S37
  20. Zhao D, Banks SA, D’Lima DD, Colwell CW, Fregly BJ. In vivo medial and lateral tibial loads during dynamic and high flexion activities. J Orthop Res. 2007;25(5):593–602
  21. Morlock M, Schneider E, Bluhm A, Vollmer M, Bergmann G, Muller V, et al. Duration and frequency of every day activities in total hip patients. J Biomech. 2001;34(7):873–881
  22. Shen C, Dumbleton JH. The friction and wear behavior of irradiated very high molecular weight polyethylene. Wear. 1974;30(1):349–364
  23. Simo JC, Laursen TA. An augmented lagrangian treatment of contact problems involving friction. Comput Struct. 1992;42(1):97–116
  24. Frost HM. Mechanical determinants of bone modeling. Metab Bone Dis Relat Res. 1982;4(4):217–229
  25. Pattin CA, Caler WE, Carter DR. Cyclic mechanical property degradation during fatigue loading of cortical bone. J Biomech. 1996;29(1):69–79
  26. Frost HM. The skeletal intermediary organization. Metab Bone Dis Relat Res. 1983;4(5):281–290
  27. Lee TC, Staines A, Taylor D. Bone adaptation to load: microdamage as a stimulus for bone remodelling. J Anat. 2002;201(6):437–446
  28. Chau R, Gulati A, Pandit H, Dodd C, Gill R, Murray D, et al. Unicompartmental arthoplasty. In: Influence of size of the tibial component on clinical and radiological outcomes in SICOT/SIROT 2008 XXIV Triennial World Congress. Hong Kong. 2008;

PII: S1350-4533(09)00057-5

doi: 10.1016/j.medengphy.2009.02.004

Medical Engineering & Physics
Volume 31, Issue 7 , Pages 752-757 , September 2009